| Shannon Vance, | |
|
707 Sheridan Ave, Cody, WY 82414-3409 | |
| (307) 587-2139 | |
| Not Available |
| Full Name | Shannon Vance |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 707 Sheridan Ave, Cody, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 700729 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 40029-1636 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Park Hospital District | 7315855624 | 79 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | Northern Wyoming Surgical Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740027812 PECOS PAC ID: 9931630837 Enrollment ID: O20241002003303 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Vance, Po Box 1155, Billings, MT 59103-1155 Ph: (406) 248-3290 | Shannon Vance, 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 587-2139 |
Ms. Shelly Marie Green, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-587-2139 | |
Brent Adam Mcallister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Sandra E Whalen, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-587-2139 | |
Barton E Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1860 Fax: 307-587-2364 |